Black Canyon Community Health Center
NPI 1992438642 · Federally Qualified Health Center (FQHC) · Black Canyon City, AZ
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Canyon Community Health Center is a Federally Qualified Health Center (FQHC) organization in Black Canyon City, AZ (NPI 1992438642).
Provider details
- NPI number
- 1992438642
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Hancock, Ceo(623) 374-0200
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Frequently asked questions
- What is Black Canyon Community Health Center's NPI number?
- Black Canyon Community Health Center's National Provider Identifier (NPI) is 1992438642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Canyon Community Health Center?
- Black Canyon Community Health Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Black Canyon Community Health Center located?
- Black Canyon Community Health Center's practice location on file with NPPES is 19251 E Oasis Dr, Black Canyon City, AZ 85324-8878.
- What is Black Canyon Community Health Center's phone number?
- The practice phone number listed in the NPPES registry for Black Canyon Community Health Center is (623) 374-0200.
- Does Black Canyon Community Health Center accept Medicare?
- Black Canyon Community Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Canyon Community Health Center?
- The authorized official listed on Black Canyon Community Health Center's NPPES record is Randy Hancock, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Canyon Community Health Center's NPI active?
- Yes — Black Canyon Community Health Center's NPI (1992438642) is active in the NPPES registry as of the last update on 2022-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.